NRNP 6675 PMHNP final EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




Final Exam Test Questions 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (A97B3) vc vc vc vc vc




QUESTION 1 vc




Question 18: Christine is a 9-year- vc vc vc vc vc



old female who presents for care after having been placed in the local foster care system.
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She has been in and out of foster care for the last 4 years after her parents were killed i
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n an automobile accident. Christine has been placed in a variety of homes and residentia
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l care facilities. The PMHNP recognizes that Christine is at high risk for:
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ANSWER

A. Dissociative disorders
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B. Post-traumatic stress disorder
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C. Impulse-control disorder
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D. Attachment disorder
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QUESTION 2 vc




Question 2: Debi is a 15-year- vc vc vc vc vc



old girl who is currently being treated for depression. Her parents have been very proact
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ive and involved in her care, and Debi has achieved remission 2 months after beginning t
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reatment with a combination of pharmacotherapy and cognitive behavioral therapy. Whi
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le counseling Debi's parents about important issues in management, the PMHNP advises
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that:
ANSWER

A. There is a > 50% likelihood that Debi's younger sibling will develop depressive symptoms
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B. The mean length of major depressive episode in adolescents is 4 months
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C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I within 5 years
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D. Adolescent-onset depression typically need long-
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term pharmacologic management to prevent relapses
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QUESTION 3 vc




Agomelatine

,ANSWER

Brand: Valdoxan -Melatonin multimodal (Mel-MM) -
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Agonist at melatonergic 1 and melatonergic 2 receptors -Antagonist at 5HT2C receptors -
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Not FDA approved: Rx for Depression, Generalized anxiety disorder -
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Initial 25 mg/day at bedtime; after 2 weeks can increase to 50 mg/day at bedtime
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QUESTION 4 vc




Amitriptyline (Elavil) vc




ANSWER

Tricyclic antidepressant. vc




QUESTION 5 vc




Aripiprazole (Abilify) vc




ANSWER

Treatment for depression. Atypical antipsychotic. "Dopamine stabilizer". Dopamine receptor antagonist i
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n high concentration and also stimulates increase of dopamine in low concentrations. Side effects: insom
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nia, akathisia.
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QUESTION 6 vc




Brexpiprazole (Rexulti) vc




ANSWER

Treatment for depression. Atypical antipsychotic
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QUESTION 7 vc




Bupropion (Wellbutrin) vc




ANSWER

Antidepressant and smoking cessation aid, It can treat depression and help people quit smoking. It can a
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lso prevent depression caused by seasonal affective disorder (SAD).
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QUESTION 8 vc




Citalopram (Celexa) vc




ANSWER

Antidepressant, SSRI: 20-40 mg qd. vc vc vc vc

, QUESTION 9 vc




Cyamemazine (Tercian) vc




ANSWER

Treatment for depression. -Known as cyamepromazine -
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Typical antipsychotic drug of the phenothiazine class. -Treatment for schizophrenia and psychosis-
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associated anxiety -Behaves like an atypical antipsychotic, due to its potent anxiolytic effects (5-
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HT2C) and lack of extrapyramidal side effects (5-HT2A). -
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Conventional antipsychotic (neuroleptic, phenothiazine, dopamine 2 antagonist, serotonin dopamine ant
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agonist) -Commonly Prescribed for (not FDA approved): -Schizophrenia -
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Anxiety associated with psychosis (short-term) -
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Anxiety associated with nonpsychotic disorders, including mood disorders and personality disorders (sh
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ort-term) -Severe depression -Bipolar disorder -Other psychotic disorders -
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Acute agitation/aggression (injection) -Benzodiazepine withdrawal
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QUESTION 10 vc




Desiprimine (Norpramine) vc




ANSWER

Treats depression Brand: Norpramin -TCA -Norepinephrine noradrenaline reuptake inhibitor. -
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FDA approved for treating depression. -Off-
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label: Anxiety, Insomnia, Neuropathic pain/chronic pain, Treatment-resistant depression. -
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More potent inhibitor of norepinephrine reuptake pump than serotonin reuptake pump (serotonin trans
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porter). -May have immediate effects in treating insomnia or anxiety. -If it is not working within 6-
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8 weeks for depression, it may require a dosage increase or it may not work at all -100-
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200 mg/day (for depression) 50-150 mg/day (for chronic pain).
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QUESTION 11 vc




Desvenlafaxine (Pristiq) vc




ANSWER

Dual serotonin and norepinephrine reuptake inhibitor-often classified as an antidepressant. -
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FDA approved to tx MDD. -Off-
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label: Vasomotor sx's, fibromyalgia, GAD, Social Anx d/o, panic d/o, PTSD, PMDD -
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Dopamine is inactivated by norepinephrine reuptake in frontal cortex (which lack dopamine transporter
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s) med can increase dopamine neurotransmission in this part of the brain -
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QUESTION 12 vc




Risperidone (Risperdal) vc




ANSWER